Healthcare Provider Details

I. General information

NPI: 1285262717
Provider Name (Legal Business Name): ELAINE AND ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2020
Last Update Date: 01/27/2022
Certification Date: 01/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 SE 47TH ST UNIT I-3
CAPE CORAL FL
33904-9692
US

IV. Provider business mailing address

1325 SE 47TH ST UNIT I-3
CAPE CORAL FL
33904-9692
US

V. Phone/Fax

Practice location:
  • Phone: 786-616-4689
  • Fax:
Mailing address:
  • Phone: 786-616-4689
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ELAINE MORALES FRAGINALS
Title or Position: CEO
Credential:
Phone: 786-616-4689